Centering pregnancy - An interdisciplinary model of empowerment
Centering pregnancy - An interdisciplinary model of empowerment
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DOI：
10.1016/s0091-2182(97)00117-1
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发表时间：
1998-01-01
期刊：
影响因子：
--
通讯作者：
Rising, SS
中科院分区：
文献类型：
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作者：
Rising, SS
这是医疗保健系统变革的时刻。这给保健提供者提出了一个挑战，即开发创造性的新模式，在一个要求更经济、更有效的系统内提供优质服务。该设计将产前护理的三个组成部分风险评估，教育和支持纳入一个实体。根据预计的分娩日期，将妇女分成8至12人一组，定期进行10次90分钟的产前或产后检查。在这些访问中，标准的产前风险评估是在组内设置完成。教育形式采用说教式讨论形式，并为妇女提供相互交谈和分享的时间，通过将这三个组成部分合并为一个整体：强调它们的集体重要性。鼓励妇女为自己负责，这导致了服务对象-提供者权力基础的转变，评估数据表明，96%的妇女更愿意集体接受产前护理。这种模式是跨学科的设计，并展示了提供者的满意度，以及在提供护理的效率。这是一个很好的模式，为照顾青少年和助产士和护士从业人员领导。满意度、良好的结果和有效的护理服务相结合，使这成为各机构实施的一个有吸引力的模式。(C)1998年，美国护士助产士学会。
This is a time of change within the health care system. This has created a challenge for health care providers to develop creative new patterns that will provide quality service within a system that is mandating more economy and efficiency,The Centering Pregnancy program abolishes routine prenatal care by bringing women out of examination rooms and into groups for their care. The design incorporates the three components of prenatal care-risk assessment, education, and support-into one entity. Women are placed into groups of 8 to 12 based on estimated dates of delivery and meet for ten 90-minute prenatal or postpartum visits at regular intervals. At these visits, standard prenatal risk assessment is completed within the group setting. An educational format is followed that uses a didactic discussion format, and time is provided for women to talk and share with one another, By incorporating these three components into one whole: emphasis is placed on their collective importance. Women are encouraged to take responsibility for themselves; this leads to a shift in the client-provider power base.Evaluative data demonstrated that 96% of the women preferred receiving their prenatal care in groups. This model is interdisciplinary in design and demonstrates provider satisfaction, as well as efficiency in delivery of care. It is an excellent model for the care of teens and for midwives and nurses practitioners to lead. The combination of satisfaction, good outcomes, and effective delivery of care makes this an attractive model for agencies to implement. (C) 1998 by the American College of Nurse-Midwives.